Abstract
The term oncoplastic surgery was coined to describe an evolving area of breast surgery that applies the principles of surgical oncology and plastic and reconstructive surgery to the management of women with breast cancer. Oncoplastic surgery does not describe a particular surgical procedure; it represents a comprehensive approach to surgical planning intended to achieve 1) widened surgical margins; 2) reduced local recurrence risk; 3) optimized cosmetic outcome; and 4) breast volume reduction when patients with macromastia develop breast cancer. This specialized field of cancer surgery, once confined to surgeons practicing in Europe, has gained popularity and attention in the United States, with surgeons anxious to achieve these goals for patients. Multiple factors have combined to allow surgeons to use innovative surgical solutions to simultaneously improve oncologic outcome and surgical cosmesis. This article explores current aspects of oncoplastic surgery, summarizes how various methods are applied in clinical practice, and discusses future directions in the emerging field of oncoplastic breast cancer surgery.
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References and Recommended Reading
Halsted WS: The results of radical operations for the cure of carcinoma of the breast. Ann Surg 1907, 46:1.
Patey DH, Dyson WH: The prognosis of carcinoma of the breast in relation to the type of operation performed. Br J Cancer 1948, 2:7.
Fisher B, Anderson S, Bryant J, et al.: Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med 2002, 347:1233–1241.
Veronesi U, Cascinelli N, Mariani L, et al.: Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med 2002, 347:1227–1232.
Rew DA: Towards a scientific basis for oncoplastic breast surgery. Eur J Surg Oncol 2003, 29:105–106.
Kaur N, Petit JY, Rietjens M, et al.: Comparative study of surgical margins in oncoplastic surgery and quadrantectomy in breast cancer. Ann Surg Oncol 2005, 12:539–545.
Asgeirsson KS, McCulley SJ, Pinder SE, et al.: Size of invasive breast cancer and risk of local recurrence after breast-conservation therapy. Eur J Cancer 2003, 39:2462–2469.
Asgeirsson KS, Rasheed T, McCulley SJ, Macmillan RD: Oncological and cosmetic outcomes of oncoplastic breast conserving surgery. Eur J Surg Oncol 2005, 31:817–823.
Brown IM, Wilson CR, Doughty JC, et al.: The future of breast surgery: a new sub-speciality of oncoplastic breast surgeons? Breast 2004, 13:82.
Carlson RW, Anderson BO, Burstein HJ, et al.: Invasive breast cancer. J Natl Compr Canc Netw 2007, 5:246–312.
Clough KB, Lewis JS, Couturaud B, et al.: Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg 2003, 237:26–34.
Jemal A, Siegel R, Ward E, et al.: Cancer statistics, 2007. CA Cancer J Clin 2007, 57:43–66.
Beatty JD, Porter BA:. Contrast-enhanced breast magnetic resonance imaging: the surgical perspective. Am J Surg 2007, 193:600–605; discussion 605.
Lehman CD, Gatsonis C, Kuhl CK, et al.: MRI evaluation of the contralateral breast in women with recently diagnosed breast cancer. N Engl J Med 2007, 356:1295–1303.
Anderson BO, Kaufman CS, Kiel KD, Carlson RW: Interdisciplinary coordination for breast healthcare: a rational approach to detection, diagnosis and treatment. Dis Manage Health Outcomes 2008, 16:7–11.
Masetti R, Di Leone A, Franceschini G, et al.: Oncoplastic techniques in the conservative surgical treatment of breast cancer: an overview. Breast J 2006, 12(5 Suppl 2):S174–S180.
Anderson BO, Masetti R, Silverstein MJ: Oncoplastic approaches to partial mastectomy: an overview of volume-displacement techniques. Lancet Oncol 2005, 6:145–157.
Chen CY, Calhoun KE, Masetti R, Anderson BO: Oncoplastic breast conserving surgery: a renaissance of anatomically-based surgical technique. Minerva Chir 2006, 61:421–434.
Singletary SE, Robb GL: Oncologic safety of skin-sparing mastectomy. Ann Surg Oncol 2003, 10:95–97.
Skillman JM, Humzah MD: The future of breast surgery: a new subspecialty of oncoplastic breast surgeons? Breast 2003, 12:161–162.
Rainsbury RM: Training and skills for breast surgeons in the new millennium. ANZ J Surg 2003, 73:511–516.
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Lebovic, G.S., Anderson, B.O. Oncoplastic breast surgery: Current status and best candidates for treatment. Curr Breast Cancer Rep 1, 118–123 (2009). https://doi.org/10.1007/s12609-009-0017-1
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DOI: https://doi.org/10.1007/s12609-009-0017-1